NPI 1033760574

Gaps Health Wi LTD

Organisation General Practice Physician South Milwaukee, WI

Practice location

Address: 3821 S Chicago Ave, South Milwaukee, WI 53172-3712
Phone: (248) 470-9509
Mailing address: PO Box 208003, Dallas, TX 75320-8003

Authorised official

Name: Sonali Wilborn
Title: Physician
Phone: (682) 206-3118

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Wisconsin →

Registry record

NPI: 1033760574
Entity type: Organization
NPI issued: 26 Sep 2019
Record last updated: 29 Sep 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.